South
Staffordshire
Community and Voluntary Action
New membership application form for 2008
SSCVA Membership is open to all voluntary organisations and community groups in South Staffordshire and the surrounding area.
Membership fees for the year January 2008 - December 2008 are as follows:
Community Groups with an income between £0- 500
Voluntary Organisations/Community Groups with an income of less than £10,000 in the last financial year.
*£5.00
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Voluntary Organisations/Community Groups with an income above £10,000 in the last financial year
*£10.00
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Cheques to be made payable to SSCVA (*please tick appropriate box)
Application for Full Membership (New)
We hereby confirm that we wish to become members of South Staffordshire Community and Voluntary Action (SSCVA) and that we will contribute one pound to any debts of the Company in the event of it being wound up.
Signed ...................................................................................... Date....................
Please complete the following details for inclusion in our company register of members and mailing list.
Name of Organisation: (Please print) .........................................................................
Date Group/Organisation established:........................................................................
Address: .....................................................................................................................
Post Code: ............................ Tel. No: ............................
Nominated representative / contact person:...............................................................
Address if different from above:..................................................................................
.........................................................................
Post Code:..........................................
South Staffordshire Community and Voluntary Action is a Company Limited by Guarantee Registered No: 4388223. Registered as a charity no: 1093899. Registered Office: 1 Stafford St, Brewood, Staffs. ST19 9DX
* Free
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